Individual provider · Type 1 NPI

Sandra Eberle Sullivan, NP

Nurse Practitioner · Encinitas, CA

NPI number 1639487952 Active

Practice location

320 Santa Fe Dr, Suite 308
Encinitas, CA 92024-5138

Fax (760) 230-5203

Mailing address

PO Box 429
Cardiff By The Sea, CA 92007-0429

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP19940 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639487952

Sandra Eberle Sullivan, NP's National Provider Identifier is 1639487952, issued on Sep 21, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Encinitas, CA. The record was last updated on Jan 18, 2016.